Root Cause Analysis & Failure Mode and Effects Analysis Western Governors University Organizational Systems and Quality Leadership, RTT1 Task 2 The purpose of this paper is to examine the unfortunate sentinel even of Mr. B, who was a sixty-seven year-old patient brought to the emergency department by his son and neighbor after experiencing a fall. I will conduct a root cause analysis to help determine the causative factors that led to Mr. B’s sentinel event. In the process of completing a root cause analysis, I will discuss the errors and hazards of the care of Mr. B. Change theory will be utilized to develop an improvement plan to decrease the likelihood of a reoccurrence of this sentinel event. A failure mode and effects analysis will be used to project the likelihood that the process improvement plan suggested would not fail.
2) They identify structures of care and care processes, which influence patient care outcomes. (Montalvo, 2007, para. 3) Structural indicators are comprised of the supply, skill, education and certification of the nursing staff. Process indicators measure nursing assessment, intervention and job satisfaction. Outcome indicators reflect patient outcomes that are most influenced by nursing care.
The relevant ANA measures are linked to the changes in symptom severity and level of functioning domains. In symptom severity domain of pain management, the nurse would assess the individual’s perception of activities of treatment (process measure), use of pain medication (process measure), client ratings of pain or discomfort (outcome measure), provider ratings of pain or discomfort (outcome measure), and ratings including frequency, duration, and intensity of pain (outcome measure). In the level of functioning domain, the nurse would assess activities of daily living and instrumental activities of daily living (outcome measure). Risk reduction. In addition, according to the national quality initiatives, the PQRI/DOQ-IT has two measures related to smoking: “inquiry regarding tobacco use” and “advising smokers to quit.” The first measure is described as the percentage of patients 18 years and older who were queried about tobacco use one or more times in the last 24 months; the second measure is the percentage of patients 18 years and older and are smokers who received advice to quit smoking.
Because of this, it is very important to understand the causes, effects, and treatments for PTSD. Not only for those affected, but also for their families and loved ones. It is nearly impossible to know how many people are affected by PTSD. Of the military that have served in the Middle East, at least one fifth are affected. Combine this with the civilian population also experiencing the effects of PTSD and the number increases
Bartling v. Superior Melissa Wells Rasmussen College Medical Law and Ethics Bartling v. Superior In this case, a mentally competent patient (Bartling) was forced to use a ventilator against his wishes. At the time of his admission, Bartling was suffering from pulmonary emphysema, atherosclerotic cardiovascular disease, coronary arteriosclerosis, an abdominal aneurysm and lung cancer. A needle biopsy of Mr. Bartling's left lung caused it to collapse. Attempts to inflate his lung failed and a mechanical ventilator was soon attached by way of a tracheostomy. Mr. Bartling remained on the ventilator until the time of his death on November 6, 1984.
Any information created by the laboratory is also protected. If the information received or created by the laboratory contains a patients name, address, social security number, email address, telephone number, account number, medical record number or health plan beneficiary numbers then this information can be used to identify the patient and is covered under the privacy rule and can not be disclosed (HIPAA privacy policy for optical labs, n.d.). The privacy rule sets standards and safety measures to protect the privacy of personal health information. There are also
Single payer: why government-run health care will harm both patients and doctors. Retrieved from http://www.heritage.org/research/reports/2009/04/single-payer-why-government-run-health-care-will-harm-both-patients-and-doctors Congressional Budget Office. (2008). Key Issues in Analyzing Major Health Insurance Proposals. Retrieved from http://www.cbo.gov/ftpdocs/99xx/doc9924/12-18-KeyIssues.pdf Ray, J.
Friedman’s model views family as a subsystem of society and enables nurses to assess the family system as a whole, as a component of society, and as an interactional system (Stanhope & Lancaster, 20012). In this essay, the participating family, M family, was assessed with using the Friedman Family Assessment Model and given priority nursing diagnoses along with community health nursing interventions to influence the issues positively and effectively. Taking into consideration the impact of family structure, roles, and values, the effects of Watson’s theory of human caring on community health nursing is portrayed overcoming these factors and eventually achieve wellness and health for family, community, and all. The Friedman Family Assessment tool contains collection of family data in different areas such as identifying data, developmental stage and history of family, environmental data, family structure, family functions, and family stress and coping (Stanhope & Lancaster, 2012). In summary of the M family, this is a two-parent family in which 60 year-old RM is the father and retired nurse, and his wife MM is 59 years of age and currently still working as a nurse.
* What do you think should be competency requirements for basic peripheral IV skills? What are the competency requirements for basic peripheral IV skills? * Infusion Nursing * Infusion nursing is defined as the nursing process relating to technical and clinical application of fluids, electrolytes, infection control, oncology pediatrics, pharmacology, quality assurance, technology and clinical application, parenteral nutrition, and transfusion therapy * Three-Part Competency Model * Competency statement * Statement that reflects a measurable goal * Domains of learning criteria * Cognitive (knowledge based) * Performance criteria (psychomotor
See glossary of Nursing Program Student Handbook Illness is a state of adaptation in which the adaptation responses are ineffective and/or incomplete, often resulting in contact with health care providers. What is wellness? See glossary of Nursing Program Student Handbook A state of optimal health or potential achieved by individuals through the integration of health practices. What is Nursing? See glossary of Nursing Program Student Handbook The American Nurse’s Association (ANA) defines Nursing as “The diagnosis and treatment of human responses to actual or potential health problems”.